Individual provider Active NPI

Grant Augustine Campbell, DPT

  • Physical Therapist
  • Alliance, OH
National Provider Identifier
1730910779
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
021343 Issued in OH
Practice address
1220 W State St
Alliance, OH 44601-4626
Phone
(330) 823-4263
Fax
(330) 823-4260
NPI assigned
Aug 12, 2024
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 021343 OH Primary

Addresses

Primary practice location

1220 W State St
Alliance, OH 44601-4626

Mailing address

5380 Parks Ave NE
Louisville, OH 44641-9587
Phone (330) 575-6197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240917003373 OH Practitioner - Physical Therapist in Private Practice 7113468273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hands on Physical Therapy, LLCGroup PAC ID 3072707645, 5 clinicians

Practice addresses (Care Compare)

1220 W State St
Alliance, OH 44601-4626
Phone (330) 823-4263

45 State St
Struthers, OH 44471-1984
Phone (330) 755-6552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
021343OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hands on Physical Therapy, LLC CurrentSince Jun 19, 2024 Accepting new patients

Locations

1220 W State St
Alliance, OH 44601
Phone (330) 755-6552

45 State St
Struthers, OH 44471
Phone (330) 755-6552

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1730910779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 PARKS AVE NE",
            "city": "LOUISVILLE",
            "state": "OH",
            "postal_code": "446419587",
            "telephone_number": "330-575-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W STATE ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014626",
            "telephone_number": "330-823-4263",
            "fax_number": "330-823-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "GRANT",
        "middle_name": "AUGUSTINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "021343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.